Doris S Martinez, CERTIFIED PEDORTHIST

Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Odem, TX

NPI 1992878797 · NPPES record last updated Oct 30, 2007

Key facts

NPI
1992878797
Entity type
Individual (NPI type 1)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
2637 (TX)
Practice address
402 Voss Ave.
Odem, TX 78370-0042
Phone
(361) 368-3252
Fax
(361) 368-2413
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2637TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Martinez Diabetic Footwear Durable Medical Equipment & Medical Supplies Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2637 TX Yes

Addresses

Primary practice location

402 Voss Ave.
Odem, TX 78370-0042

Mailing address

PO Box 721
Odem, TX 78370-0721
Phone (361) 368-3252

Other providers in Odem, TX

All providers in Odem, TX · Durable Medical Equipment & Medical Supplies in Texas

Sources for this page

Verify at the official NPI Registry.